Perianal Hematoma

A perianal hematoma is a small collection of blood that forms under the skin near the anus, usually caused by the rupture of a blood vessel. It may appear as a painful, bluish lump and is often mistaken for piles. While usually harmless, it can cause discomfort and requires medical care if symptoms persist or worsen.

Treatments

Pain Relief – Warm sitz baths, painkillers, and topical ointments for comfort.
Cold Compress – To reduce swelling and inflammation in the early stage.
Drainage Procedure – In severe or large hematomas, a minor surgical procedure may be required to drain clotted blood.
Lifestyle Measures – Avoid straining during bowel movements and follow a high-fiber diet.

Symptoms and Causes

Symptoms:

Sudden painful lump near the anus
Swelling and tenderness
Bluish or purplish skin discoloration
Mild bleeding in some cases

Causes:

Straining during bowel movements
Chronic constipation or diarrhea
Heavy lifting or sudden physical strain
Prolonged sitting on hard surfaces

Prevention

Eat a high-fiber diet to prevent constipation
Stay hydrated with plenty of fluids
Avoid prolonged sitting or straining during bowel movements
Exercise regularly to improve bowel function
Use proper lifting techniques and avoid sudden heavy strain